• Medicina · Jan 2024

    Case Reports

    [Multidisciplinary management of esophageal affections: Two challenging cases].

    • David Solinas, Nicole Miraglia, Mauricio G Ramirez, Adolfo E Badaloni, Alejandro Bertolotti, and Alejandro Nieponice.
    • Unidad Esófago, Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina.
    • Medicina (B Aires). 2024 Jan 1; 84 (5): 9971001997-1001.

    AbstractEsophageal pathologies can exhibit extremely low incidence and prevalence rates. Therefore, it is essential to have multidisciplinary teams including surgeons specialized in esophageal pathology, with a high caseload, to ensure proper diagnosis and management. This manuscript presents a series of esophageal pathology cases with favorable outcomes and atypical resolution for non-specialized groups. However, failure to refer to specialists in a timely manner can result in missed diagnoses or poor quality of life for patients. These findings underscore the importance of having surgeons specialized in esophageal pathology and multidisciplinary teams to provide the best possible care for patients. Lusoria dysphagia (LD) is a condition caused by vascular compression of the esophagus, resulting from the most common embryological vascular abnormality of the aortic arch: the aberrant right subclavian artery (ARSA) or lusoria artery (LA). This variant occurs in 0.5 to 2.5% of individuals. Necrosis of the gastric tube following an esophagectomy is a rare complication with a high mortality rate. Esophageal replacement with coloplasty is the preferred technique for a second attempt at reconstruction. However, this remains a complex surgery with a high rate of complications.

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